LA MAESTRA FAMILY CLINIC, INC. (NPI# 1609849074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609849074 |
| Entity Type | Organization |
| Organization Name | LA MAESTRA FAMILY CLINIC, INC. |
| Other Organization Name | LA MAESTRA COMMUNITY HEALTH CENTERS |
| Practice Address |
4060 Fairmount Ave San Diego CA 92105-1608 |
| Practice Telephone | 6192804213 |
| Practice Fax Number | 6192816738 |
| Mailing Telephone | 6199610818 |
| Mailing Fax Number | 6192816738 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2013-03-15 |
| Authorized Official Name | ZARA MARSELIAN (CEO) |
| Authorized Official Telephone | 6199610818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70472G | 05 |
| Other Name | Type Code |
|---|---|
| La Maestra Community Health Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326578774 | La Maestra Family Clinic, Inc. | Pharmacy | 165 S 1st St Ste 1b, El Cajon, CA 92019-4795 | 2017-06-19 |
| 1912301110 | La Maestra Family Clinic, Inc. | Physician Assistant | 259 Seldovia Street, Box 206, Seldovia, AK 99663-0206 | 2014-10-16 |
| 1265831960 | La Maestra Family Clinic, Inc. | Clinic/Center | 4171 Fairmount Ave, San Diego, CA 92105-1609 | 2014-08-19 |
| 1508949645 | La Maestra Family Clinic, Inc. | Clinic/Center | 217 Highland Avenue, National City, CA 91950 | 2006-10-23 |
| 1073177739 | La Maestra Family Clinic, Inc. | Clinic/Center | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2019-04-29 |
| 1467950550 | La Maestra Family Clinic, Inc. | Pharmacy | 209 Highland Ave, National City, CA 91950-1518 | 2018-01-24 |
| 1467718791 | La Maestra Family Clinic, Inc. | Clinic/Center | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2012-04-11 |
| 1891011599 | La Maestra Family Clinic, Inc. | Clinic/Center | 7967 Broadway, Lemon Grove, CA 91945-1809 | 2010-04-20 |
| Street Address |
4060 FAIRMOUNT AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92105-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104981 | Sombath Senethong | Family Medicine | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2005-06-16 |
| 1811594286 | Nathanael Jonathan Luna | Pharmacist | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2020-10-07 |
| 1184243420 | Soona Ko | Student in an Organized Health Care Education/Training Program | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2020-04-15 |
| 1780233098 | Cristina L Kim | Nurse Practitioner | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2019-09-09 |
| 1275189110 | Jessica Wilson | Nurse Practitioner | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2019-08-15 |
| 1073177739 | La Maestra Family Clinic, Inc. | Clinic/Center | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2019-04-29 |
| 1982181772 | Vahid Niki | Dentist | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2018-07-24 |
| 1417446477 | Kellie Ramsey | Dentist | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2018-05-05 |
| 1528586716 | Emilia Kodiath | Dentist | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2017-09-07 |
| 1659814648 | Iran Felix | Nurse Practitioner | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2016-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934798 | Point Loma Nazarene University | Nurse Practitioner | Point Loma Nazarene University Health Promotion Center, 4101 University Avenue, San Diego, CA 92105 | 2019-10-23 |
| 1104478809 | Kristin Lynn Nichols | Counselor | 4823 El Cajon Blvd Suite #115, San Diego, CA 92105 | 2019-07-12 |
| 1205343076 | Momentum Learning | Counselor | 3720 El Cajon Blvd., Sd, CA 92105 | 2018-01-03 |
| 1306352695 | Nathan Hien Le, Dds. Inc | Dentist | 4170 Fairmount Ave., San Diego, CA 92105 | 2017-12-21 |
| 1073038071 | Aika Mary Erlandson | Student in an Organized Health Care Education/Training Program | 5296 University Ave. Suite F-2, San Diego, CA 92105 | 2017-08-10 |
| 1457872178 | Ride-in Transport LLC | Non-emergency Medical Transport (VAN) | 4061 Fairmount Ave, San Diego, CA 92105 | 2017-07-03 |
| 1598205346 | Ahmed Mooge | Ambulance | 4061 Fairmout Ave, San Diego, CA 92105 | 2017-02-27 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1730634098 | Med Specialty Sai Inc. | Pharmacy | 4153 University Avenue, Suite B, San Diego, CA 92105 | 2016-08-16 |
| 1568857464 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 4074 Fairmount Avenue, Suite B, San Diego, CA 92105 | 2015-03-30 |
| Find all providers in zip 92105 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326696329 | Uchechukwu Nkiru Dijeh | Clinic/Center | 5203 Caminito Cachorro, San Diego, CA 92105-5357 | 2019-09-03 |
| 1710236120 | Operation Samahan, Inc. | Clinic/Center | 9955 F2 Carmel Mountain Rd., San Diego, CA 92129-2815 | 2012-08-30 |
| 1932338241 | El Dorado Community Service Center | Clinic/Center | 1733 Euclid Ave, San Diego, CA 92105-5414 | 2009-07-08 |
| 1831383637 | Planned Parenthood Pacific Southwest | Clinic/Center | 4305 University Ave Ste 350, San Diego, CA 92105-8602 | 2007-09-05 |
| 1841225836 | Planned Parenthood Pacific Southwest | Clinic/Center | 1602 Thomas Ave, San Diego, CA 92109-4423 | 2006-07-11 |
| 1689609679 | Planned Parenthood of The Pacific Southwest | Clinic/Center | 2017 1st Ave Ste 301, San Diego, CA 92101-2033 | 2006-07-11 |
| 1245265230 | Planned Parenthood of The Pacific Southwest | Clinic/Center | 220 Euclid Ave Ste 30, San Diego, CA 92114-3617 | 2006-07-11 |
| 1124053111 | Planned Parenthood Pacific Southwest | Clinic/Center | 10717 Camino Ruiz Ste 258, San Diego, CA 92126-2364 | 2006-07-11 |
| 1306871397 | Planned Parenthood Pacific Southwest | Clinic/Center | 7526 Clairemont Mesa Blvd, San Diego, CA 92111-1504 | 2006-07-11 |
| 1215962204 | Planned Parenthood Pacific Southwest | Clinic/Center | 4501 Mission Bay Dr # 1c D, San Diego, CA 92109-4923 | 2006-07-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.